Doctor Name: | DR. NISHANT MICHAEL DE QUADROS |
NPI Number: | 1003027285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301087927 |
Business Practice Address: | 710 Center St The Medical Center Columbus, GA - 319012608 |
Business Phone Number: | 7065011000 |
Business Fax Number: | |
Mailing Address: | 1701 Williams Ct, Apt 1103 COLUMBUS |
State: | GA |
Postal Code: | 319043901 |
Phone Number: | 2163749444 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2007 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 4301087927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |